Provider Demographics
NPI:1235440140
Name:BOHNERT, KATHERINE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANN
Last Name:BOHNERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 SYCAMORE AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1248
Mailing Address - Country:US
Mailing Address - Phone:732-747-9310
Mailing Address - Fax:732-747-9320
Practice Address - Street 1:34 SYCAMORE AVE STE 2A
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1248
Practice Address - Country:US
Practice Address - Phone:732-747-9310
Practice Address - Fax:732-747-9320
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB9495200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology